Individual
MIRIAH ISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2307 SUNNY LN APT F, SUAMICO, WI 54313-7864
(406) 565-1197
Mailing address
2307 SUNNY LN APT F, SUAMICO, WI 54313-7864
(406) 565-1197
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
248407-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
157416
WI
Other
Enumeration date
10/17/2023
Last updated
03/17/2026
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